| Rebirth Transition Program | |
|
1750 Shiloh Rd Nw Apt 134 Kennesaw GA 30144-6507 | |
| (314) 497-7510 | |
| Not Available |
| Full Name | Rebirth Transition Program |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1750 Shiloh Rd Nw, Kennesaw, Georgia |
| Authorized Official Name and Position | Mikel Brown (OWNER) |
| Authorized Official Contact | 3144977510 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rebirth Transition Program 1750 Shiloh Rd Nw Apt 134 Kennesaw GA 30144-6507 | Rebirth Transition Program 1750 Shiloh Rd Nw Apt 134 Kennesaw GA 30144-6507 Ph: (314) 497-7510 |
| NPI Number | 1962889998 |
|---|---|
| Provider Enumeration Date | 04/28/2015 |
| Last Update Date | 04/28/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962889998 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | () | Primary |
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